A estreita porta de entrada do Sistema Único de Saúde (SUS): uma avaliação do acesso na Estratégia de Saúde da Família

Abstract

Este estudo objetivou analisar a percepção dos usuários sobre o acesso à Estratégia de Saúde da Família (ESF) em suas dimensões geográfica, organizacional, sóciocultural e econômica. Fez-se uma avaliação de processo com abordagem qualitativa por meio de entrevista aberta, observação direta e análise documental, em Recife, Pernambuco. Os principais problemas foram: deficiente sistema de referência e contra-referência; demora no retorno dos resultados dos exames laboratoriais; excessivo número de famílias por equipe; dificuldades para marcar consultas; despesas com medicamentos. Foram observadas facilidades na relação profissional-usuário, bem como na proximidade geográfica da unidade de saúde. A ESF revelou-se uma estreita porta de entrada do SUS, merecendo um olhar distinto, que adote como ponto de partida as necessidades dos indivíduos demandatários de suas ações, bem como as lógicas que norteiam as ações dos sujeitos envolvidos no cuidado.

Assessment of access to primary health care among children and adolescents hospitalized due to avoidable conditions

“…The comparison between the FHS and the traditional model of the BHU in terms of access has already been described by other authors, with most finding little difference between the two models, 25,35,36 while others describe problems relating to the organization of the services and conclude that the FHS has not worked as a good gateway. 26,37 In the present study, 74% of users of the FHS gave a score of less than 6.6 to First Contact Access, but this assessment was significantly better than that made by patients in the traditional model ( Table 1). The better performance of the FHS may possibly be related to the greater connection provided by this model, as the sensation of "greater belonging" to the service favors its use and has an impact on the expectations of user in relation to the satisfaction of their needs.…”

Dificuldades enfrentadas pelos indígenas durante a permanência em uma Casa de Saúde Indígena na região Amazônica/Brasil

“…As it can be observed in the indigenous speech, despite the Unified Health System's health insurance, from the Primary Care to the Tertiary Care, and, yet, specifically in relation to the Sasi, there are still difficulties regarding the health integral access as per what was set forth by Law 8.080, dated September 19, 1990. There is still the situation in which the users do not find room for their demands referral in moments of severe pain and suffering (Azevedo;Costa, 2010).…”

Implementation of Quick HIV Tests in a Basic Health Unit in the Town of Santa Cruz-RN: Experiment Experienced by the PRO/PET-Saúde Students

“…The Acquired Immunodeficiency Syndrome (AIDS) is a very relevant theme, because it consists in a contemporary Public Health problem which strikes men and women, brings implications to society in their many dimensions, and causes important social impact [1].…”

“…Making clear the importance of following-up pregnant women in the three network complexity levels, mainly the basic attention is considered the point of entry in the health services, because it is normally a place that people look for care, especially pregnant women, for pre-natal [1].…”